EP1547514B1 - Appareil endoscopique - Google Patents

Appareil endoscopique Download PDF

Info

Publication number
EP1547514B1
EP1547514B1 EP04030522A EP04030522A EP1547514B1 EP 1547514 B1 EP1547514 B1 EP 1547514B1 EP 04030522 A EP04030522 A EP 04030522A EP 04030522 A EP04030522 A EP 04030522A EP 1547514 B1 EP1547514 B1 EP 1547514B1
Authority
EP
European Patent Office
Prior art keywords
balloon
assisting tool
insertion section
insertion assisting
tip end
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP04030522A
Other languages
German (de)
English (en)
Other versions
EP1547514A1 (fr
Inventor
Masayuki Takano
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fujinon Corp
SRJ Corp
Original Assignee
Fujinon Corp
SRJ Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fujinon Corp, SRJ Corp filed Critical Fujinon Corp
Priority to EP07025045A priority Critical patent/EP1902666B1/fr
Priority to EP07025046A priority patent/EP1902667B1/fr
Publication of EP1547514A1 publication Critical patent/EP1547514A1/fr
Application granted granted Critical
Publication of EP1547514B1 publication Critical patent/EP1547514B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00154Holding or positioning arrangements using guiding arrangements for insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/01Guiding arrangements therefore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements

Definitions

  • the present invention relates to an endoscope apparatus, and particularly relates to an endoscope apparatus which has a balloon fitted onto an insertion section of an endoscope, and which performs observation by inserting the insertion section into a deep alimentary canal such as a small intestine and a large intestine by alternately inserting an insertion assisting tool covering the insertion section, and the insertion section.
  • an endoscope apparatus provided with a first balloon at a tip end part of an insertion section of the endoscope and provided with a second balloon at a tip end part of the insertion assisting tool (also called an over tube or a sliding tube) is described.
  • an insertion section 1 of an endoscope is first inserted into a intestinal canal 3 with an insertion assisting tool 2 covering the insertion section 1 and a tip end part 1a of the insertion section 1 is inserted into as deep a part as possible, as shown in Fig. 10A .
  • a first balloon 4 fitted onto the tip end part 1a is inflated and fixed to the intestinal canal 3 as shown in Fig.
  • the insertion section 1 is drawn in hand over hand to remove excessive deflection of the insertion section 1, and makes the insertion section 1 as linear a shape as possible.
  • the insertion assisting tool 2 is pushed through along the insertion section 1, and a tip end part 2a of the insertion assisting tool 2 is disposed near a tip end part 1a of the insertion section 1.
  • a second balloon 5 is inflated, and the tip end part 2a of the insertion assisting tool 2 is fixed to the intestinal canal 3.
  • Fig. 10E a second balloon 5 is inflated, and the tip end part 2a of the insertion assisting tool 2 is fixed to the intestinal canal 3.
  • the insertion section 1 is inserted as deep as possible again.
  • the insertion section 1 is guided by the insertion assisting tool 2, and therefore, the insertion section 1 can be smoothly inserted.
  • the tip end part 1a of the insertion section 1 can be inserted into a deep part even in the intestinal canal 3 that is complicatedly bent.
  • JP 06 063045 A discloses an ultrasound endoscope device comprising an endoscope body with a first balloon, and a short outer tube with a second balloon, being movable over the distal portion of the endoscope body and connected to the latter by two flexible elements, namely a bellows tube and a membrane.
  • the outer tube can be anchored inside a body cavity by means of the second balloon, thereby acting as an insertion assisting tool.
  • the bellows tube prevents contact of the balloon with the outer tube.
  • Japanese Patent Application Laid-open No. 51-11689 has the fear that when the insertion section 1 is drawn in, a tip end of the insertion assisting tool 2 contacts the first balloon 4 and damages the first balloon 4.
  • the present invention is made in view of the above circumstances, and has its object to provide an endoscope apparatus which can prevent a balloon fitted onto an insertion section from contacting an insertion assisting tool and being damaged.
  • the tip end of the insertion assisting tool can be prevented from contacting the balloon by the contact preventing device, and damage to the balloon can be prevented.
  • Fig. 1 shows a system schematic diagram showing an embodiment of an endoscope apparatus according to the present invention.
  • the endoscope apparatus shown in Fig. 1 is mainly constructed by an endoscope 10, a light source device 20, a processor 30, a balloon control device 66 and an insertion assisting tool 70.
  • the endoscope 10 comprises an insertion section 12 which is inserted into a body cavity and a hand operation section 14 connected to the insertion section 12, and a universal cable 16 is connected to the hand operation section 14.
  • An LG connector 18 is provided at a tip end of the universal cable 16, and the LG connector 18 is connected to the light source device 20.
  • An electric connector 24 is connected to the LG connector 18 via a cable 22, and the electric connector 24 is connected to the processor 30.
  • An air/water supply tube 26 for supplying air and water, and a suction tube 28 for sucking air are connected to the LG connector 18.
  • an air/water passing button 32, a suction button 34 and a shutter button 36 are provided in parallel, and a pair of angle knobs 38 and 38, and a forceps insertion part 40 are provided.
  • a supply/suction port 44 for supplying fluid to a first balloon 42 which will be described later and sucking fluid from the first balloon 42 is provided at a base end part of the hand operation section 14.
  • air as the fluid
  • the other fluid for example, inert gas and water may be used.
  • the insertion section 12 is constructed by a tip end part 46, a curving part 48 and a flexible part 50, the curving part 48 is remotely operated to curve by rotating a pair of angle knobs 38 and 38 provided on the hand operation section 14. Thereby, a tip end surface 47 of the tip end part 46 can be directed to a desired direction.
  • the tip end surface 47 of the tip end part 46 is provided with an observation optical system 52, an illumination optical system 54, an air/water passing nozzle 56, a forceps port 58 and the like.
  • CCD (not shown) is placed behind the observation optical system 52, and a signal cable is connected to the base board supporting the CCD.
  • the signal cable is provided to extend to the electric connector 24 by being inserted through the insertion section 12, the hand operation section 14 and the universal cable 16 in Fig. 1 , and is connected to the processor 30.
  • an observed image taken by the observation optical system 52 is formed on a light-receiving surface of the CCD, and converted into an electrical signal, and the electrical signal is outputted to the processor 30 via the signal cable, and converted into a picture signal. Thereby, the observed image is displayed on a monitor 60 connected to the processor 30.
  • An emission end of a light guide (not shown) is placed behind the illumination optical systems 54 in Fig. 2 .
  • the light guide is inserted through the insertion section 12, the hand operation section 14 and the universal cable 16 in Fig. 1 , and an incident end is placed at the LG connector 18.
  • the illumination light which is irradiated from the light source device 20 is transmitted to the illumination optical systems 54 via the light guide, and is irradiated from the illumination optical systems 54.
  • the air/water passing nozzle 56 (see Fig. 2 ) is inserted through a valve (not shown) which is operated by the air/water passing button 32, and is further inserted through the air/water supplying tube 26. Accordingly, by operating the air/water passing button 32, air or water is injected toward the observation optical system 52 from the air/water passing nozzle 56.
  • the forceps port 58 (see Fig. 2 ) is inserted through the forceps insertion part 40, and is inserted through a valve (not shown) which is operated by the suction button 34, and further inserted through the suction tube 28. Accordingly, by operating the suction button 34, a diseased portion and the like are sucked from the forceps port 58, and by inserting an operative instrument from the forceps insertion part 40, the operative instrument is led out of the forceps port 58.
  • the first balloon 42 made of an elastic body such as rubber is fitted onto an outer peripheral surface of the insertion section 12.
  • the first balloon 42 is formed in a substantially cylindrical shape with both end portions narrowed down, and is fitted by fixing both the end portions of the first balloon 42 to the insertion section 12 after the insertion section 12 is inserted through the first balloon 42.
  • a thread is wound around both the end portions of the first balloon 42, for example, and the first balloon 42 is closely fitted onto the entire periphery of the outer peripheral surface of the insertion section 12.
  • fixing rings may be fitted onto both the end portions of the first balloon 42.
  • An air port 62 is formed at the attaching position of the first balloon 42 to the insertion section 12.
  • the air port 62 communicates with the supply/suction port 44 of the hand operation section 14 in Fig. 1 .
  • a tube 64 is connected to the supply/suction port 44 and the tube 64 is connected to the balloon control device 66.
  • the balloon control device 66 is a device which supplies air to the first balloon 42 and sucks air via the tube 64, and controls the air pressure on the supply and suction of air, and is operated by an operation button 68 provided at a front surface.
  • the first balloon 42 is inflated in a substantially spherical shape by supplying air, and attached onto the outer surface of the insertion section 12 by sucking air.
  • the insertion assisting tool 70 is formed in a cylindrical shape, and has a slightly larger inner diameter than the outer diameter of the insertion section 12, and includes sufficient flexibility.
  • a rigid gripping portion 74 is provided at a base end of the insertion assisting tool 70, and the insertion section 12 is inserted from the gripping part 74.
  • a balloon air port 78 is provided at a base end side of the insertion assisting tool 70.
  • An air supply tube 76 with an inner diameter of about 1 mm is connected to the balloon air port 78, and the air supply tube 76 is bonded to an outer peripheral surface of the insertion assisting tool 70, and provided to extend to the tip end part of the insertion assisting tool 70.
  • a second balloon 72 made of latex is fitted to the vicinity of the tip end of the insertion assisting tool 70.
  • the second balloon 72 is formed into a substantially cylindrical shape with both ends narrowed, and is fitted onto the insertion assisting tool 70 with the insertion assisting tool 70 penetrated through the second balloon 72.
  • the aforementioned tube 76 is opened inside the second balloon 72, and the second balloon 72 communicates with the balloon air port 78 via the tube 76.
  • a tip end of a tube 80 is connected to the balloon air port 78, and a base end of the tube 80 is connected to the aforementioned balloon control device 66. Accordingly, when air is supplied to the balloon air port 78 by the balloon control device 66, air is blown into the second balloon 72, whereby the second balloon 72 is inflated.
  • Reference numeral 84 in Fig. 1 designates an inlet port for filling a lubricant such as water into the insertion assisting tool 70.
  • the insertion section 12 is inserted into an intestinal canal (for example, descending limb of duodenum) in the state in which the insertion assisting tool 70 covers the insertion section 12.
  • the first balloon 42 and the second balloon 72 are deflated.
  • the insertion assisting tool 70 is pushed in, and inserted along the insertion section 12, as shown in Fig. 3E (pushing operation). Then, after the tip end of the insertion assisting tool 70 is pushed into the vicinity of the first balloon 42, air is supplied to the second balloon 72 to inflate the second balloon 72 as shown in Fig. 3F . As a result, the second balloon 72 is fixed to the intestinal canal 90. Namely, the intestinal canal 90 is gripped by the second balloon 72 (gripping operation).
  • the insertion assisting tool 70 is drawn in (drawing operation). Thereby, the intestinal canal 90 is in the contracted state, and excessive deflection and bending of the insertion assisting tool 70 are eliminated.
  • the tip end part 46 of the insertion section 12 is inserted into as deep a part of the intestinal canal 90 as possible. Namely, the inserting operation as shown in Fig. 3C is performed again. Thereby, the tip end part 46 of the insertion section 12 can be inserted into a deep part of the intestinal canal 90.
  • the pushing operation as shown in Fig. 3E is performed after the fixing operation as shown in Fig. 3D is performed, the gripping operation as shown in Fig. 3F and the drawing operation as shown in Fig. 3G , and the inserting operation as shown in Fig. 3H are repeatedly performed in sequence.
  • the insertion section 12 can be further inserted into a deep part of the intestinal canal 90.
  • the endoscope apparatus is provided with a contact preventing device which prevents the insertion assisting tool 70 from contacting the first balloon 42 when the pushing operation shown in Fig. 3E is performed.
  • Fig. 4 is a schematic view showing a construction of an embodiment of the contact preventing device.
  • a contact prevention indicator 100 for contact prevention is formed on the outer peripheral surface of the insertion 12 shown in Fig. 4 .
  • the contact prevention indicator 100 is formed at the position where it appears from the base end side of the insertion assisting tool 70 when the tip end of the insertion assisting tool 70 is in the state in which the tip end of the insertion assisting tool 70 approaches the first balloon 42, but does not contact the first balloon 42 (hereinafter, called a limit state) as shown in Fig. 4 .
  • scales 102 and the like are formed on the insertion section 12, it is preferable to form the contact prevention indicator 100 to be different in thickness, color, shape and the like from the scale 102 to be recognized as the contact prevention indicator 100 at a glance. For example, it is preferable to form the contact prevention indicator 100 to be thicker than the scale 102 or form it in a different color from the scale 102.
  • the indicator 100 appears from the base end side of the insertion assisting tool 70. Accordingly, the operator recognizes the indicator 100, and thereby, the operator can prevent the tip end of the insertion assisting tool 70 from contacting the first balloon 42. Thereby, the first balloon 42 can be prevented from being damaged.
  • the embodiment is provided with the indicator 100 indicating the limit state, but other than the indicator, an indicator indicating that the tip end of the insertion assisting tool 70 approaches the limit state may be provided. This makes it possible to recognize that the tip end of the insertion assisting tool 70 approaches the first balloon 42 stepwise.
  • the contact prevention indicator 100 is formed separately from the scales 102, but the scale 102 corresponding to the position of the indicator 100 may be changed from the other scales 102 in thickness, color, shape and the like.
  • the other scales 102 may be formed in white, and the scale 102 at the position corresponding to the contact prevention indicator 100 may be formed in red.
  • Fig. 5 is a schematic view showing a construction of a first illustrative example of a contact preventing device not forming part of the invention.
  • a string-shaped member 110 shown in Fig. 5 has its both ends respectively connected to the insertion assisting tool 70 and the hand operation section 14.
  • the string-shaped member 110 a chain, a string or the like, which is not extended in the axial direction is used, and the maximum length of the string-shaped member 110 is set at the distance between the insertion assisting tool 70 and the hand operation section 14 in the limit state. It is suitable to connect the both ends of the string-shaped member 110 to the insertion assisting tool 70 and the hand operation section 14 after covering the insertion section with the insertion assisting tool 70.
  • the string-shaped member 110 strains when the insertion assisting tool 70 is in the limit state, and the insertion assisting tool 70 cannot be pushed any more. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
  • the base end side of the string-shaped member 110 is connected to the hand operation section 14, but the base end side of the string-shaped member 110 may be connected to the base end part of the insertion section 12.
  • an end portion of the string-shaped member 110 is wound around a take-up roller 112, and thereby, excessive deflection of the string-shaped member 110 may be removed.
  • the taken-up roller 112 shown in Fig. 6 is provided inside the gripping part 74 of the insertion assisting tool 70, and is biased in the arrow direction by a biasing device not shown. Accordingly, the string-shaped member 110 which is loosened between the insertion assisting tool 70 and the insertion section 14 is automatically wound by the taken-up roller 112. Therefore, it can be prevented that the loosened string-shaped member 110 interferes with the operation.
  • the taken-up roller 112 may be provided at the hand operation section 14 side. In the apparatus shown in Fig.
  • the rotational frequency of the taken-up roller 112 is detected, and when the rotational frequency becomes a set value, it is determined as the limit state, and the rotation of the taken-up roller 112 may be stopped. Alternatively, when the rotational frequency becomes the set value, the warning may be sent out.
  • Fig. 7 is a schematic view showing a construction of a second illustrative example of a contact preventing device not forming part of the invention.
  • a recessed groove 120 is formed in an inner peripheral surface of the insertion assisting tool 70 shown in Fig. 7 , and a ring-shaped reflector plate 122 is embedded in and fixed to the recessed groove 120.
  • the reflector plate 122 is disposed to be detected by an optical sensor 124 when the insertion assisting tool 70 is in the limit state.
  • the optical sensor 124 is fixed to the insertion section 12.
  • the optical sensor 124 irradiates light from the outer peripheral surface of the insertion section 12 and receives the reflected light, and thereby, detects the change in the reflected light amount. Accordingly, if the reflector plate 122 is disposed at the outer side of the optical sensor 124, the reflected light amount changes, and therefore, the optical sensor 124 can detect the reflector plate 122.
  • a cable 126 is connected to the optical sensor 124, and the cable 126 is connected to the processor 30 in Fig. 1 .
  • the processor 30 performs warning display on the monitor 60, or issues warning sound from a speaker built in the monitor 60 when the optical sensor 124 detects the reflector plate 122.
  • the optical sensor 124 detects the reflector plate 122 when the insertion assisting tool 70 comes to the limit state, and warning sound is issued. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
  • the reflector plate 122 is provided as the detected member to be detected by the optical sensor 124, but the member to be detected is not limited to this, and may be an indicator for optical detection or the like.
  • the reflector plate 122 is provided at the insertion assisting tool 70, and the optical sensor 124 is provided at the insertion section 12, but in reverse, the reflector plate 122 may be provided at the outer peripheral surface of the insertion section 12, and the optical sensor 124 may be provided at an inner peripheral surface of the insertion assisting tool 70.
  • it is suitable to provide the display part on the outer peripheral surface of the gripping part 74 of the insertion assisting tool 70 and display a warning message.
  • the reflector plate 122 is provided at the gripping part 74 at the base end of the insertion assisting tool 70, but the attaching position of the member to be detected such as the reflector plate 122 is not limited to this.
  • the reflector plate 122 may be provided at the tip end of the insertion assisting tool 70, and the optical sensor 124 may be placed to detect the reflector plate 122 in the limit state. In this case, the tip end position of the insertion assisting tool 70 is detected, and therefore, the tip end of the insertion assisting tool 70 can be more reliably prevented from contacting the first balloon 42.
  • warning is issued in the limit state, but it can be detected that the tip end of the insertion assisting tool 70 approaches the limit state by providing a plurality of reflector plates 122, and warning can be issued. Thereby, stepwise warning can be performed.
  • Fig. 9 is a schematic view showing a construction of a third illustrative example of contact preventing device.
  • a magnetic body 132 is provided inside the insertion section 12 shown in Fig. 9 .
  • the magnetic body 132 is disposed at the position which is detected by a magnetic sensor 130 which will be described later when the insertion assisting tool 70 is in the limit state.
  • the magnetic body 132 is formed into a ring shape, and is disposed in the state in which the content such as the aforementioned light guide and tube is inserted through the magnetic body 132.
  • the shape, construction and the like of the magnetic body 132 are not especially limited, and for example, a magnetic tape or the like may be used.
  • the magnetic sensor 130 is provided at the gripping part 74 of the insertion assisting tool 70.
  • a message of warning is displayed on the display part 134 provided on the outer surface of the gripping part 74.
  • the magnetic sensor 130 detects the magnetic body 132 and the message of warning is displayed on the display part 134, when the insertion assisting tool 70 is in the limit state. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
  • the magnetic body 132 is provided at the insertion section 12, and the magnetic sensor 130 is provided at the insertion assisting tool 70, but in reverse, the magnetic body 132 may be provided at the insertion assisting tool 70, while the magnetic sensor 130 may be provided at the insertion section 12.
  • the attaching positions of the magnetic body 132 and the magnetic sensor 130 are not limited to the base end of the insertion assisting tool 70, but may the tip end of the insertion assisting tool 70, for example. Thereby, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42 more reliably.
  • the aforementioned third example is constructed to issue warning in the limit state, but by providing a plurality of magnetic bodies 132, it may be detected that the insertion assisting tool 70 approaches the limit state and warning may be issued. Thereby, stepwise warning can be performed.
  • the aforementioned embodiment cites the example of a double balloon type endoscope apparatus with the first balloon 42 fitted to the insertion section 12 and the second balloon 72 fitted to the insertion assisting tool 70, but it is suitable if only the first balloon 42 is fitted to the insertion section 12, and the present invention can be also applied to the endoscope apparatus in which the second balloon 72 is not fitted to the insertion assisting tool 70.
  • the operation methods of the endoscope apparatuses in the aforementioned embodiment are not limited to the procedure shown in Fig. 3 , and the effect of the present invention can be also obtained by the operation method shown in Fig. 10 . Namely, by providing the aforementioned contact preventing device, the insertion assisting tool 2 can be prevented from contacting the first balloon 4 and the first balloon 4 can be prevented from being damaged, when the insertion assisting tool 2 is pushed in along the insertion section 1 as shown in Fig. 10C .
  • warning is performed when the limit state is detected, but the insertion assisting tool 70 may be prevented from contacting the first balloon 42 by fixing the insertion part 12 and the insertion assisting tool 70.
  • the elastic member made of rubber or the like is provided to be able to protrude and retreat with respect to the inner peripheral surface of the insertion assisting tool 70, and the elastic member is controlled to protrude when the limit sated is detected. Thereby, the elastic member protrudes and abuts to the outer peripheral surface of the insertion section 12 when the insertion assisting tool 70 is in the limit state, and the insertion section 12 and the insertion assisting tool 70 are fixed. Thereby, the insertion assisting tool 70 can be reliably prevented from contacting the first balloon 42.

Claims (1)

  1. Appareil endoscopique, comprenant :
    un endoscope (10) avec un tronçon d'insertion (12) qui est connecté à un tronçon d'opération manuel (14) et un ballon (42) monté sur le tronçon d'insertion,
    un outil d'aide à l'insertion (70) qui couvre le tronçon d'insertion et qui guide l'insertion du tronçon d'insertion jusque dans une cavité corporelle ; et
    un dispositif d'empêchement de contact qui empêche à une extrémité terminale de l'outil d'aide à l'insertion (70) de venir en contact avec le ballon (42),
    caractérisé en ce que
    le dispositif d'empêchement de contact est un indicateur (100) formé au niveau d'une surface extérieure du tronçon d'insertion (12), et l'indicateur (100) est adapté de telle façon qu'il apparaît depuis un côté à l'extrémité de base de l'outil d'aide à l'insertion (70) quand l'outil d'aide à l'insertion est déplacé relativement à un côté terminal du tronçon d'insertion (12), et l'extrémité terminale de l'outil d'aide à l'insertion (70) est dans un état limite dans lequel l'extrémité terminale de l'outil d'aide à l'insertion s'approche du ballon mais ne vient pas en contact avec le ballon (42).
EP04030522A 2003-12-24 2004-12-22 Appareil endoscopique Active EP1547514B1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP07025045A EP1902666B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie
EP07025046A EP1902667B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2003426919 2003-12-24
JP2003426919A JP3873285B2 (ja) 2003-12-24 2003-12-24 内視鏡装置

Related Child Applications (2)

Application Number Title Priority Date Filing Date
EP07025046A Division EP1902667B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie
EP07025045A Division EP1902666B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie

Publications (2)

Publication Number Publication Date
EP1547514A1 EP1547514A1 (fr) 2005-06-29
EP1547514B1 true EP1547514B1 (fr) 2008-08-06

Family

ID=34544963

Family Applications (3)

Application Number Title Priority Date Filing Date
EP07025046A Active EP1902667B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie
EP07025045A Active EP1902666B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie
EP04030522A Active EP1547514B1 (fr) 2003-12-24 2004-12-22 Appareil endoscopique

Family Applications Before (2)

Application Number Title Priority Date Filing Date
EP07025046A Active EP1902667B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie
EP07025045A Active EP1902666B1 (fr) 2003-12-24 2004-12-22 Appareil d'endoscopie

Country Status (6)

Country Link
US (1) US20050159644A1 (fr)
EP (3) EP1902667B1 (fr)
JP (1) JP3873285B2 (fr)
CN (4) CN100536758C (fr)
AT (3) ATE403393T1 (fr)
DE (3) DE602004020406D1 (fr)

Families Citing this family (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8784336B2 (en) 2005-08-24 2014-07-22 C. R. Bard, Inc. Stylet apparatuses and methods of manufacture
JP4683282B2 (ja) * 2005-08-31 2011-05-18 富士フイルム株式会社 内視鏡装置
US20070112251A1 (en) * 2005-11-08 2007-05-17 The Trustees Of Columbia University In The City Of New York Apparatuses and methods for delivering one or more deliverables into a body
DE102005057479A1 (de) * 2005-11-30 2007-05-31 Philipps-Universität Marburg Anordnung zur Führung von Instrumenten in Hohlräumen
US20070148890A1 (en) * 2005-12-27 2007-06-28 Enicks Darwin G Oxygen enhanced metastable silicon germanium film layer
US7794407B2 (en) 2006-10-23 2010-09-14 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US8388546B2 (en) 2006-10-23 2013-03-05 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US8105230B2 (en) * 2007-07-09 2012-01-31 Olympus Medical Systems Corp. Medical system
US8157727B2 (en) * 2007-07-16 2012-04-17 Ethicon Endo-Surgery, Inc. Surgical methods and devices with movement assistance
US8849382B2 (en) * 2007-11-26 2014-09-30 C. R. Bard, Inc. Apparatus and display methods relating to intravascular placement of a catheter
US10524691B2 (en) 2007-11-26 2020-01-07 C. R. Bard, Inc. Needle assembly including an aligned magnetic element
US9492097B2 (en) 2007-11-26 2016-11-15 C. R. Bard, Inc. Needle length determination and calibration for insertion guidance system
US9521961B2 (en) 2007-11-26 2016-12-20 C. R. Bard, Inc. Systems and methods for guiding a medical instrument
US10449330B2 (en) 2007-11-26 2019-10-22 C. R. Bard, Inc. Magnetic element-equipped needle assemblies
US9636031B2 (en) 2007-11-26 2017-05-02 C.R. Bard, Inc. Stylets for use with apparatus for intravascular placement of a catheter
US10751509B2 (en) 2007-11-26 2020-08-25 C. R. Bard, Inc. Iconic representations for guidance of an indwelling medical device
EP3202318B1 (fr) 2007-11-26 2020-10-21 C.R. Bard, Inc. Système intégré de placement intravasculaire d'un cathéter
US9649048B2 (en) 2007-11-26 2017-05-16 C. R. Bard, Inc. Systems and methods for breaching a sterile field for intravascular placement of a catheter
US9456766B2 (en) 2007-11-26 2016-10-04 C. R. Bard, Inc. Apparatus for use with needle insertion guidance system
US8781555B2 (en) 2007-11-26 2014-07-15 C. R. Bard, Inc. System for placement of a catheter including a signal-generating stylet
US8478382B2 (en) 2008-02-11 2013-07-02 C. R. Bard, Inc. Systems and methods for positioning a catheter
EP2313143B1 (fr) 2008-08-22 2014-09-24 C.R. Bard, Inc. Ensemble cathéter comprenant un capteur d'électrocardiogramme et ensembles magnétiques
US8437833B2 (en) 2008-10-07 2013-05-07 Bard Access Systems, Inc. Percutaneous magnetic gastrostomy
US9532724B2 (en) 2009-06-12 2017-01-03 Bard Access Systems, Inc. Apparatus and method for catheter navigation using endovascular energy mapping
RU2691318C2 (ru) 2009-06-12 2019-06-11 Бард Аксесс Системс, Инк. Способ позиционирования конца катетера
EP2464407A4 (fr) 2009-08-10 2014-04-02 Bard Access Systems Inc Dispositifs et procédés pour électrographie endovasculaire
US11103213B2 (en) 2009-10-08 2021-08-31 C. R. Bard, Inc. Spacers for use with an ultrasound probe
EP2531098B1 (fr) 2010-02-02 2020-07-15 C.R. Bard, Inc. Appareil et procédé destinés à la navigation d'un cathéter et à la localisation d'une pointe
CA2800810C (fr) 2010-05-28 2019-11-05 C.R. Bard, Inc. Systeme de guidage d'introduction pour aiguilles et composants medicaux
CN102834045B (zh) * 2010-07-09 2015-03-11 奥林巴斯医疗株式会社 内窥镜保持装置及内窥镜系统
EP2603145A2 (fr) 2010-08-09 2013-06-19 C.R. Bard, Inc. Structures de support et de capuchon pour tête de sonde à ultrasons
JP5845260B2 (ja) 2010-08-20 2016-01-20 シー・アール・バード・インコーポレーテッドC R Bard Incorporated Ecg支援カテーテル先端配置の再確認
CN103189009B (zh) 2010-10-29 2016-09-07 C·R·巴德股份有限公司 医疗设备的生物阻抗辅助放置
USD699359S1 (en) 2011-08-09 2014-02-11 C. R. Bard, Inc. Ultrasound probe head
USD724745S1 (en) 2011-08-09 2015-03-17 C. R. Bard, Inc. Cap for an ultrasound probe
WO2013070775A1 (fr) 2011-11-07 2013-05-16 C.R. Bard, Inc Insert à base d'hydrogel renforcé pour ultrasons
US20130269705A1 (en) 2012-04-16 2013-10-17 Thomas C. Kochem Variable stiffness flexure
EP2861153A4 (fr) 2012-06-15 2016-10-19 Bard Inc C R Appareil et procédés permettant la détection d'un capuchon amovible sur une sonde à ultrasons
US9333111B2 (en) 2013-02-04 2016-05-10 Hologic, Inc. Fundus bumper mechanical reference for easier mechanism deployment
US9895192B2 (en) 2013-03-13 2018-02-20 Hologic, Inc. Intrauterine treatment device with articulating array
US20140276234A1 (en) * 2013-03-13 2014-09-18 Hologic, Inc. Intrauterine measurement device
EP3073910B1 (fr) 2014-02-06 2020-07-15 C.R. Bard, Inc. Systèmes pour le guidage et le placement d'un dispositif intravasculaire
CN104644260B (zh) * 2014-09-12 2018-03-09 密雷 一种微创保胆手术息肉基底注水系统
US10973584B2 (en) 2015-01-19 2021-04-13 Bard Access Systems, Inc. Device and method for vascular access
JP6368256B2 (ja) * 2015-02-05 2018-08-01 富士フイルム株式会社 内視鏡システム
JP6157792B2 (ja) * 2015-06-01 2017-07-05 オリンパス株式会社 医療用マニピュレータ
US11553832B2 (en) * 2015-06-05 2023-01-17 Fujifilm Corporation Endoscope system
WO2016203803A1 (fr) * 2015-06-18 2016-12-22 オリンパス株式会社 Appareil d'insertion, et dispositif d'insertion
WO2016210325A1 (fr) 2015-06-26 2016-12-29 C.R. Bard, Inc. Interface de raccord pour système de positionnement de cathéter basé sur ecg
US11000207B2 (en) 2016-01-29 2021-05-11 C. R. Bard, Inc. Multiple coil system for tracking a medical device
US10939814B2 (en) * 2016-08-19 2021-03-09 Jason Andrew Slate Systems and method for preventing air escape and maintaining air distension
US10992079B2 (en) 2018-10-16 2021-04-27 Bard Access Systems, Inc. Safety-equipped connection systems and methods thereof for establishing electrical connections

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS506192A (fr) * 1973-05-18 1975-01-22
US4040413A (en) * 1974-07-18 1977-08-09 Fuji Photo Optical Co. Ltd. Endoscope
JPH0663045A (ja) * 1992-08-20 1994-03-08 Olympus Optical Co Ltd 超音波内視鏡
US5353787A (en) * 1993-06-10 1994-10-11 Price Evelyn C Endotracheal tube and oral airway connector
US5709691A (en) * 1996-03-11 1998-01-20 Morejon; Orlando Endotracheal tube cleaning device
US5928137A (en) * 1996-05-03 1999-07-27 Green; Philip S. System and method for endoscopic imaging and endosurgery
JPH11287957A (ja) * 1998-04-01 1999-10-19 Olympus Optical Co Ltd 粗微動駆動装置
JPH11290263A (ja) * 1998-04-13 1999-10-26 Hironori Yamamoto 消化管内視鏡検査に用いる内視鏡装着用バルーン、バルーン付きスライディングチューブ、及びそれらの使用方法
WO2000019926A1 (fr) * 1998-10-05 2000-04-13 Scimed Life Systems, Inc. Ablation thermique d'une surface etendue
JP3596661B2 (ja) * 1999-02-22 2004-12-02 富士写真光機株式会社 内視鏡の挿入補助具
JP2002301019A (ja) * 2001-04-09 2002-10-15 Hironori Yamamoto 内視鏡装置
US6632227B2 (en) * 2001-08-24 2003-10-14 Scimed Life Systems, Inc. Endoscopic resection devices
US20040068190A1 (en) * 2002-10-04 2004-04-08 Cespedes Eduardo Ignacio Imaging catheter with indicia and methods of use

Also Published As

Publication number Publication date
DE602004020406D1 (de) 2009-05-14
CN100536758C (zh) 2009-09-09
EP1902666B1 (fr) 2009-02-18
EP1902667A1 (fr) 2008-03-26
CN100361622C (zh) 2008-01-16
ATE422837T1 (de) 2009-03-15
CN100515316C (zh) 2009-07-22
CN101112302A (zh) 2008-01-30
DE602004019592D1 (de) 2009-04-02
EP1902666A1 (fr) 2008-03-26
EP1547514A1 (fr) 2005-06-29
JP2005185309A (ja) 2005-07-14
CN101099661A (zh) 2008-01-09
CN101099660B (zh) 2010-07-21
JP3873285B2 (ja) 2007-01-24
US20050159644A1 (en) 2005-07-21
CN101099660A (zh) 2008-01-09
CN1636503A (zh) 2005-07-13
ATE403393T1 (de) 2008-08-15
EP1902667B1 (fr) 2009-04-01
DE602004015558D1 (de) 2008-09-18
ATE427066T1 (de) 2009-04-15

Similar Documents

Publication Publication Date Title
EP1547514B1 (fr) Appareil endoscopique
EP1759627B1 (fr) Endoscope, capuchon pour endoscope et méthode de fixation d un ballon pour endoscope
US7713191B2 (en) Balloon controller for endoscope apparatus
US20100286479A1 (en) Internal pressure detecting device for inflating and deflating member and endoscope apparatus
JP4836653B2 (ja) 内視鏡装置
JP2007282712A (ja) 内視鏡装置用バルーンユニット
EP1844700B1 (fr) Endoscope avec ballonnet
JP2007014475A (ja) 内視鏡装置用のバルーン制御装置
JP4683282B2 (ja) 内視鏡装置
JP3874292B2 (ja) 内視鏡装置
JP3846634B2 (ja) 内視鏡
JP3794492B2 (ja) 内視鏡
WO2021176530A1 (fr) Capuchon d'endoscope et système d'endoscope
JP3753327B2 (ja) 内視鏡
JP4578862B2 (ja) 医療システム
JP3800223B2 (ja) 内視鏡装置
JP3864280B2 (ja) ダブルバルーン式内視鏡装置
JP2007330628A (ja) 医療装置用バルーン及びそれを備えた医療装置
JP2005118374A (ja) 内視鏡及び内視鏡の挿入補助具
JP2008023102A (ja) 内視鏡
JPH07299069A (ja) 超音波内視鏡

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR

AX Request for extension of the european patent

Extension state: AL BA HR LV MK YU

17P Request for examination filed

Effective date: 20050617

RAP1 Party data changed (applicant data changed or rights of an application transferred)

Owner name: SRJ CORPORATION

Owner name: FUJINON CORPORATION

AKX Designation fees paid

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR

17Q First examination report despatched

Effective date: 20061211

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

RIN1 Information on inventor provided before grant (corrected)

Inventor name: TAKANO, MASAYUKI

RIN1 Information on inventor provided before grant (corrected)

Inventor name: TAKANO, MASAYUKI

Inventor name: YAMAMOTO, HIRONORI

RIN1 Information on inventor provided before grant (corrected)

Inventor name: TAKANO, MASAYUKI

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR

REG Reference to a national code

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: CH

Ref legal event code: EP

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REF Corresponds to:

Ref document number: 602004015558

Country of ref document: DE

Date of ref document: 20080918

Kind code of ref document: P

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20081206

Ref country code: ES

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20081117

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20081106

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: RO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: PT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20090106

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

26N No opposition filed

Effective date: 20090507

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MC

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20081231

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

REG Reference to a national code

Ref country code: CH

Ref legal event code: PL

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

REG Reference to a national code

Ref country code: GB

Ref legal event code: 732E

Free format text: REGISTERED BETWEEN 20091001 AND 20091007

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CH

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20081231

Ref country code: LI

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20081231

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20081222

REG Reference to a national code

Ref country code: FR

Ref legal event code: TQ

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20081106

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: PL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

Ref country code: LU

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20081222

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20090207

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: TR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20080806

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: GR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20081107

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 12

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 13

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: GB

Payment date: 20231102

Year of fee payment: 20

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: FR

Payment date: 20231108

Year of fee payment: 20

Ref country code: DE

Payment date: 20231031

Year of fee payment: 20